About Decortication
Key Highlights
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Restores lung expansion and improves breathing capacity.Alleviates chronic chest pain and discomfort associated with a trapped lung.Treats the underlying cause of recurrent pleural effusions or infections.Prevents long-term respiratory impairment and disability.Can be performed via minimally invasive (VATS) or traditional open thoracotomy approaches.
Who is this surgery for?
- Chronic, organized empyema (infected pleural fluid) that fails to resolve with antibiotics or chest tube drainage.
- Fibrothorax or trapped lung syndrome, where a thick pleural peel restricts lung expansion.
- Persistent pleural thickening causing significant lung entrapment and respiratory symptoms.
- Hemothorax (blood in the pleural space) that has organized and is restricting the lung.
- Complicated parapneumonic effusions that have progressed to the fibrotic stage.
How to prepare
- Comprehensive pre-operative assessment including pulmonary function tests (PFTs), chest CT scan, and echocardiogram.
- Optimization of nutritional status and management of any co-existing conditions like diabetes or heart disease.
- Pre-operative counseling about the procedure, risks, and recovery expectations.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the doctor.
- Fasting for 8-12 hours before the scheduled surgery.
Risks & possible complications
- Bleeding (hemorrhage) during or after the procedure.
- Infection at the surgical site or within the chest (empyema recurrence).
- Air leak (prolonged pneumothorax) from the lung surface.
- Injury to surrounding structures like the diaphragm, heart, or major blood vessels.
- Post-operative pain, which can be significant, especially after open thoracotomy.
- Respiratory failure or pneumonia.
- Rare risks include blood clots (deep vein thrombosis) and adverse reactions to anesthesia.
Recovery & hospital stay
- Initial recovery in the hospital with chest tubes to drain fluid and air, typically for several days.
- Aggressive pain management to facilitate deep breathing and coughing exercises.
- Early mobilization and respiratory physiotherapy to prevent complications and promote lung re-expansion.
- Discharge with instructions on wound care, activity restrictions (no heavy lifting), and pain medication.
- Follow-up appointments to monitor lung function and healing via chest X-rays.
- Gradual return to normal activities over several weeks, with full recovery of strength taking months.
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Typical hospital stay: 5-10 days
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Expected recovery time: 6-12 weeks
Frequently Asked Questions
If you are considering decortication in India, these questions and answers can help you make a confident, informed decision.
Popular choices for decortication in India include Kamineni Hospital, King Koti, Manipal Hospital Varthur Road, Artemis Hospital Gurgaon, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform decortication. MediFyr helps you compare pulmonologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for decortication compare across other countries where we have data.
Top hospitals for Decortication in India
These partner hospitals in India have dedicated pulmonology teams and experience managing patients undergoing decortication.
David Gupta, a 58-year-old retired school...
David Gupta, a 58-year-old retired school principal and avid gardener, had always been healthy until a severe case of bacterial pneumonia six months ago left him with a persistent, debilitating cough and crushing fatigue. Despite multiple rounds of antibiotics, his breathing never fully recovered. A follow-up CT scan revealed a thick, restrictive 'rind' of fibrous tissue encasing his left lung, a complication known as fibrothorax. His pulmonologist, Dr. Sharma, explained that this pleural peel was acting like a straitjacket, preventing his lung from expanding. David was terrified of the major surgery, called a decortication, but the prospect of living as a breathless spectator to his own life was worse. The video-assisted thoracic surgery (VATS) procedure was grueling; surgeons meticulously peeled the fibrous layer off his lung. The first days of recovery in the ICU were painful, but with aggressive physiotherapy, he took his first deep, unrestricted breath in months. Within six weeks, his cough was gone, and he could walk around his garden without stopping. The emotional relief was profound; he moved from feeling trapped and frail in his own body to reclaiming his vitality and independence.
Pulmonologists for Decortication
Explore experienced pulmonologists who regularly perform decortication and provide pre- and post-operative care in India.
- 15 Years Experience
- Pulmonologist
Miot Hospital Chennai, Chennai
- 23 Years Experience
- Pulmonologist
Miot Hospital Chennai, Chennai
- 24 Years Experience
- Pulmonologist
Manipal Hospital Old Airport Road, Bangalore
- 22 Years Experience
- Pulmonologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 20 Years Experience
- Pulmonologist
Artemis Hospital Gurgaon, Gurgaon
- 35 Years Experience
- Pulmonologist
Kamineni Hospital LB Nagar, Hyderabad
- 33 Years Experience
- Pulmonologist
- 33 Years Experience
- Pulmonologist
Kamineni Hospital LB Nagar, Hyderabad
- 32 Years Experience
- Pulmonologist
Kamineni Hospital, King Koti, Hyderabad
- 32 Years Experience
- Pulmonologist
Metro Hospital, Sector 11, Noida
- 29 Years Experience
- Pulmonologist
- 26 Years Experience
- Pulmonologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Pulmonologist
Kamineni Hospital LB Nagar, Hyderabad
- 15 Years Experience
- Pulmonologist
Kamineni Hospital, Tadigadapa, vijayawada
- 14 Years Experience
- Pulmonologist
Metro Hospital, Sector 12, Noida
- 12 Years Experience
- Pulmonologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Pulmonologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 7 Years Experience
- Pulmonologist
Metro Hospital, Sector 12, Noida
- 6 Years Experience
- Pulmonologist
Kamineni Hospital LB Nagar, Hyderabad
- 4 Years Experience
- Pulmonologist
Kamineni Hospital, Tadigadapa, vijayawada